This section shows short videos of abnormal facial
and ocular movement seen in my clinic. If you have problem viewing the videos, you may need
to download Window Media Player by clicking the logo at the bottom of this page.

1. Facial
nerve synkinesis446KB ( The patient develops
a right facial nerve synkinesis after recovering
from Ramsey-Hunt's syndrome. Note the winking of the right eye with mouth
movement.)

2. Hemifacial
spasm183KB( This
patient develops a left hemifacial spasm after recovering from a left facial
nerve palsy. She is also known to suffer from sarcoidosis. Note the contraction
of the facial muscles
and eyelid closure. The patient has difficulty in opening the right eye.)

3. Blepharospasm.
1,488KB
(
This patient complains of a two-year history of recurrent spasmodic
contraction of both eyelids which has got worse over the year. Slit-lamp
examination of the anterior
segment is normal. The spasm is reduced with pre-tarsal botulinum toxin
injection.)

4. Möbius's
syndrome608KB( The
patient has expressionless face and is unable to blow her cheeks
or frown. There is poor eyelid closure despite lateral tarsal strips and
medial canthoplasties in both eyes.
The horizontal eye movement is restricted as shown by the need of the patient
to move her head in
order to follow the finger. Vertical eye movement is normal. There is also
wasting of the tongue muscles.)

5. Möbius's
syndrome and Poland's anomaly640KB ( The
patient has features similar to video 2. In addition,
she has micrognathia and Poland's anomaly which consists of congenital
distal limb abnormalities
with syndactylism and amputation).

6. Congenital
exotropia570KB( The
patient has congenital exotropia with visual acuities of 6/60 in the
right eye and 6/6 in the left. She had has two previous operation to correct
the right exotropia. Cover
tests show bilateral latent nystagmus worse in the right eye. The left
eye also shows DVD - dissociated
vertical deviation. Ocular motility reveals A-pattern exotropia and right
superior oblique underaction.)

7. Partial
third nerve palsy722KB(
This patient developed a sudden onset right ptosis and diplopia. The pupil
was spared. The third nerve palsy was attributed to her diabetes mellitus).

8. Third nerve palsy1,427KB(This
patient who suffers from diabetes mellitus and hypertension develops
a sudden onset right ptosis. Examination reveals that the right eye has
limited movement in those muscles
supplied by the third nerve. The pupil is not involved. The appearance
is that of a medical thrid nerve
palsy.)

9. Left
fourth nerve palsy880 KB(This young girl
has a abnormal head posture. The cover/uncover tests are normal
with the head tilted. But with the head in the primary position,
there is a left over
right. Ocular motility shows left inferior oblique overaction and poor
depression of the left
eye in adduction.)

10. Sixth nerve
palsy1,066KB(
This patient presents with a sudden onset of diplopia. Examination
reveals a right convergent squint caused by a right abducent nerve palsy.
Further investigation reveals
that he has nasopharyngeal carcinoma.)